Although more work still needs to be done, RPNA, which proudly represents over 100 qualified medical evaluators (QMEs) and several QME management companies, was successful this week in its fight to persuade the Division of Workers Compensation (DWC) to take action to protect injured workers and QMEs during the rapidly exploding COVID-19 crisis through the…
Last week, on behalf of a group of qualified medical examiners (QMEs), Nicholas Roxborough sent a letter to the Division of Workers’ Compensation (DWC) to issue an emergency regulation specifically allowing QMEs to perform evaluations via telemedicine during the current COVID-19 outbreak, not only to keep the cases moving but also to protect the health and…
A court will hear the State Compensation Insurance Fund’s contention that its tiered rating system algorithm was appropriately filed with the California Department of Insurance. State Fund convinced the court to reject requests by the CDI and an employer to deny State Fund’s petition– but just barely. The case affects the tier modifiers; it applied…
For over 30 years, the law firm of Roxborough, Pomerance, Nye & Adreani has been defending the rights of employers, Primary Treating Physicians, and Qualified Medical Evaluators against discrimination, fraud, and malfeasance by California’s powerful workers compensation carriers, third party administrators, and even the Division of Workers Compensation. Recently, Mr. Roxborough and his firm defended…
Although the number of Californians needing evaluations for reported on-the-job-injuries has soared, the state’s stable of approved medical evaluators to review those cases has been dropping. Injured workers in California often wait months or even years to receive the medical evaluations required to get needed treatment, and in some cases to determine how disabled they…
The California Insurance Commissioner’s authority to require carriers to file key policy documents for pre-approval and – more importantly – to void those agreements that were not filed was reaffirmed and reinforced by a Los Angeles Superior Court. “The big takeaway from this is that under Insurance Code section 11737, the Commissioner has the authority…
The California Department of Insurance has ordered that Applied Underwriters’ California Insurance Company issue no new or renewal policies. The order applies to all new or renewal policies, including those in SolutionOne, JumboGC, and the controversial EquityComp. Nick Roxborough shares his thoughts here.
As published in the San Fernando Valley Business Journal on September 19, 2019. About 400 people appeared at the Warner Center Marriott Woodland Hills on Wednesday as the United Chambers of Commerce held its 15th Annual Richard Leyner Mayor’s Luncheon with Los Angeles Mayor Eric Garcetti as keynote speaker. United Chambers’ chair, Armida Colmenares-Stafford, introduced…
The article below was featured in Business Insider on July 24, 2019. A legislative effort to raise the compensation for qualified medical examiners in California aims to help quell the loss of doctors working on cases involving injured workers. Qualified medical evaluators are physicians certified by the California Division of Workers Compensation Medical Unit to…
RPNA’s Nicholas Roxborough attended last week’s National WCIRB Annual Conference, where he spoke on the Dynamex issue and also served as a moderator on the California Consumer Protection Act of 2018.